Psychosis-Psychological Social and Integrative Approaches最新文献_第7页

Multifamily therapy in first psychotic episodes: a pilot study 首次精神病发作的多家庭治疗:一项初步研究

IF 1.2 4区医学

Psychosis-Psychological Social and Integrative Approaches Pub Date : 2022-03-02 DOI: 10.1080/17522439.2022.2037693

I. García del Castillo, S. López García, A. Pérez-Balaguer, D. Varillas Delgado, Claudio Fuenzalida Muñoz, Javier Sempere Pérez

{"title":"Multifamily therapy in first psychotic episodes: a pilot study","authors":"I. García del Castillo, S. López García, A. Pérez-Balaguer, D. Varillas Delgado, Claudio Fuenzalida Muñoz, Javier Sempere Pérez","doi":"10.1080/17522439.2022.2037693","DOIUrl":"https://doi.org/10.1080/17522439.2022.2037693","url":null,"abstract":"ABSTRACT Background Multifamily groups (MFG) have shown to reduce the risk of relapse of psychotic symptoms in first episodes of psychosis (FEPs) but are not frequently implemented in treatment programs. This paper describes the implementation of the interfamily therapy-model in a FEP early intervention program within a Mental Health Centre in Spain . The aims were to examine (a) relapses (measured as re-hospitalization), (b) duration of re-hospitalizations and (c) voluntary versus involuntary re-hospitalizations during participation in MFG compared with the previous year. Methods Twenty-one subjects participated in a MFG over 12 months, 11 participants with a diagnosis of psychosis and 10 family members. Results Patients and their relatives participated in around 50% of treatment sessions and manifested satisfactory experience during treatment. Among the patients who participated in MFG, a lower relapse rate was observed: a lower number of psychiatric admissions (7 versus 3) and of shorter duration [23.57 (SD 18.5) days pretreatment versus 19.33 (SD 10.2) days during treatment] although it was not statistically significant (p > 0.05), probably due to small sample size. Discussion Multifamily therapy has been well accepted by both patients and their families, with a high degree of participation. Our impression is that the simultaneous participation in different therapeutic activities (individual, group and multifamily) improves the experience of the therapeutic process.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"192 - 200"},"PeriodicalIF":1.2,"publicationDate":"2022-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60194917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A grounded theory study exploring change processes following cognitive behavioural therapy for distressing voices 一项基于理论的研究，探索认知行为疗法对痛苦声音的改变过程

IF 1.2 4区医学

Psychosis-Psychological Social and Integrative Approaches Pub Date : 2022-03-01 DOI: 10.1080/17522439.2022.2044896

Bradley Hall, M. Hayward, Rachel Terry

{"title":"A grounded theory study exploring change processes following cognitive behavioural therapy for distressing voices","authors":"Bradley Hall, M. Hayward, Rachel Terry","doi":"10.1080/17522439.2022.2044896","DOIUrl":"https://doi.org/10.1080/17522439.2022.2044896","url":null,"abstract":"ABSTRACT Background Cognitive Behavioural Therapy for voice hearing (CBTv) has been shown to be effective at reducing distress. However, it is unclear why voice hearers might deteriorate or continue to benefit post-intervention. This study aimed to explore therapeutic change processes following CBTv. Methods A critical realist, grounded theory methodology was utilised. Individual interviews were conducted with 12 participants who had experienced distressing voice hearing and had completed a CBTv intervention in the last 3–12 months. Participants were recruited from a specialist hearing voices service. Results Three categories were found to be facilitative of positive change within CBTv: “New Ways of Managing”, “Overcoming Challenges” and “Gaining New Perspectives”. Five categories denoted the maintenance or furthering of positive change following intervention: “Having a Sense of Control”, “Standing on My Own Two Feet”, “Voices Are Just Part of My Life”, “Investing in Sustaining Relationships”, and “Rediscovering and Developing Identity”. Challenging circumstances faced by participants are also incorporated into a model for maintaining change following CBTv. Discussion The model adds to current literature on change processes occurring within and after CBTv. The results support the need for those working with voice hearers post-therapy to focus on rebuilding social relationships, meaning making and identity.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"252 - 264"},"PeriodicalIF":1.2,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48393584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Approche Psychotherapeutique des Psychosis (A psychotherapeutic approach to psychosis) 精神病的心理治疗方法(approach Psychotherapeutique des Psychosis)

IF 1.2 4区医学

Psychosis-Psychological Social and Integrative Approaches Pub Date : 2022-02-23 DOI: 10.1080/17522439.2021.1985161

F. Davoine

引用次数: 0

Service User Perceived Criticism and Warmth (SU-PCaW) Questionnaire 服务用户感知批评和温暖（SU PCaW）问卷

IF 1.2 4区医学

Psychosis-Psychological Social and Integrative Approaches Pub Date : 2022-02-21 DOI: 10.1080/17522439.2022.2038254

Emma Izon, Karmen Au-Yeung, K. Berry, P. French

{"title":"Service User Perceived Criticism and Warmth (SU-PCaW) Questionnaire","authors":"Emma Izon, Karmen Au-Yeung, K. Berry, P. French","doi":"10.1080/17522439.2022.2038254","DOIUrl":"https://doi.org/10.1080/17522439.2022.2038254","url":null,"abstract":"ABSTRACT Background The outcomes for a wide range of physical and mental health conditions can be influenced by the level of criticism and warmth in the family environment known in the literature as Expressed Emotion (EE). This finding is also true for individuals with an At-Risk Mental State (ARMS) for psychosis with individual’s perceptions of EE predicting transition to psychosis. While the original concept of EE incorporates both positive and negative aspects of relationships, most measures of EE and research focus on the negative aspects of relationships. Positive factors are also important and associated with improvements in functioning and reduced symptoms. However, the absence of a comprehensive, self-report measure of positive aspects of EE has hindered research in this area. Methods This study aimed to investigate the reliability and validity of a new 10-item Service User Perceived Criticism and Warmth Questionnaire (SU-PCaW) based on the 2-item Perceived Criticism and 2-item Perceived Warmth questionnaires. Results The measure was quick and easy to administer and had high internal consistency and reliability. Conclusion This measure would aid services in screening families for therapy, be helpful in evaluating family intervention in groups such as the ARMS population and a useful measure for future research developments.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"201 - 210"},"PeriodicalIF":1.2,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41893413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Psychotic disorders in college students: demographic and care considerations 大学生精神障碍:人口学和护理考虑

IF 1.2 4区医学

Psychosis-Psychological Social and Integrative Approaches Pub Date : 2022-02-14 DOI: 10.1080/17522439.2022.2039273

Nicholas C. Borgogna, S. Aita, C. Trask, G. Moncrief

{"title":"Psychotic disorders in college students: demographic and care considerations","authors":"Nicholas C. Borgogna, S. Aita, C. Trask, G. Moncrief","doi":"10.1080/17522439.2022.2039273","DOIUrl":"https://doi.org/10.1080/17522439.2022.2039273","url":null,"abstract":"ABSTRACT Background We examined differences in demographics, access to mental healthcare, and perceived treatment barriers in college students with a history of receiving a psychotic disorder diagnosis compared to non-clinical (no history of diagnosis) and clinical (history of non-comorbid depression) control students. Methods Data came from the 2018–2019 Healthy Minds Study (HMS), n=159 students reported having been diagnosed with a psychotic disorder (0.27% prevalence). Comparison groups included 159 randomly drawn non-clinical and 159 clinical control participants. Results Students with a history of psychotic disorder diagnosis were more likely to identify as non-heterosexual (53.5%) and gender non-conforming (17%), were more likely to have a medication prescribed in the past 12 months (84.7%), have a history of participating in counseling (95.5%), received significantly more prescriptions from different medication classes, reported higher perceived need for treatment, and reported experiencing significantly more barriers to treatment compared to control groups. No differences were evident across groups regarding knowledge of campus treatment resources, sex assigned at birth, and race. Discussion College students with a history of psychotic disorder diagnosis face multiple barriers to receiving adequate treatment. University healthcare systems should consider adjusting treatment needs to this population.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"229 - 239"},"PeriodicalIF":1.2,"publicationDate":"2022-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48040606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Medication resistant psychosis: how many CBT sessions might be needed for recovery? A case report with psychodynamic commentary 耐药精神病:需要多少次CBT治疗才能恢复?附心理动力学评论的个案报告

IF 1.2 4区医学

Psychosis-Psychological Social and Integrative Approaches Pub Date : 2022-02-09 DOI: 10.1080/17522439.2022.2038255

Robert Reiser, D. Turkington, M. Garrett

{"title":"Medication resistant psychosis: how many CBT sessions might be needed for recovery? A case report with psychodynamic commentary","authors":"Robert Reiser, D. Turkington, M. Garrett","doi":"10.1080/17522439.2022.2038255","DOIUrl":"https://doi.org/10.1080/17522439.2022.2038255","url":null,"abstract":"ABSTRACT Background When clinicians adopt the standard 16–26 session maximum suggested by CBTp efficacy research, clients with long-term medication resistant psychosis may receive an inadequate dose of therapy. Building engagement and trust can take significantly longer for clients who have been given a stigmatizing medical explanation for their difficulties. Methods We present a case study of successful long-term CBTp consisting of 200 sessions over a 6-year period. Supervision aided the recovery process over the last 2 years of therapy. Results A client with a 30-year history of medication resistant persecutory delusions, voices, stigma and prominent negative symptoms gradually formed a working alliance with the therapist. A CBT formulation emphasizing activating the adaptive mode led to later targeted work to reduce distress and social avoidance and address underlying trauma. Social recovery was achieved with increased independence and enhanced creativity. A commentary is provided by a senior clinician from a psychodynamic perspective. Discussion Clients with long-term medication resistant psychosis often need an increased number of CBT sessions but can still recover. Ongoing supportive supervision prevents early discharge and a failure to achieve a recovery trajectory. We should not accept that medication resistant clients are CBT resistant following a brief course of therapy.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"219 - 228"},"PeriodicalIF":1.2,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41912944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From evidence to realities: psychosocial intervention provision in Australian routine community mental health practice 从证据到现实:澳大利亚常规社区精神卫生实践中的社会心理干预提供

IF 1.2 4区医学

Psychosis-Psychological Social and Integrative Approaches Pub Date : 2022-02-04 DOI: 10.1080/17522439.2021.2023615

E. Fossey, C. Harvey, P. Ennals, A. Wiggins, J. Farhall

{"title":"From evidence to realities: psychosocial intervention provision in Australian routine community mental health practice","authors":"E. Fossey, C. Harvey, P. Ennals, A. Wiggins, J. Farhall","doi":"10.1080/17522439.2021.2023615","DOIUrl":"https://doi.org/10.1080/17522439.2021.2023615","url":null,"abstract":"ABSTRACT Background This study explored care co-ordinator reports about provision of six evidence-based psychosocial interventions (PSIs) for people living with psychosis, to better understand decision-making about provision. Methods Conducted as an adjunct to the Second Australian National Survey of Psychosis in one catchment area, care co-ordinators completed a structured interview about evidence-based PSIs provided to 33 consumers as part of their community mental health care. Descriptive analyses were conducted. Results Care co-ordinators reported most consumers were provided at least one of the PSIs during the previous year; all were provided at least one non-evidence-based, typically briefer or simpler, alternative. Relapse Prevention Planning using early warning signs was reported as most provided; Family Psychoeducation was the least provided but rated as most helpful. The primary reason for non-provision of PSIs was that they had not been offered, with lack of relevance the most cited explanation. Conclusions PSIs may be more commonly provided than previously reported, if non-evidence-based alternatives are also considered: reasons for not offering evidence-based PSIs require further study. Meaningful guidelines are needed about when and how to offer PSIs in collaborative practice, including briefer or simpler interventions when preferred over more complex interventions.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"155 - 167"},"PeriodicalIF":1.2,"publicationDate":"2022-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44176427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Attitudes toward schizophrenia among Tunisian family medicine residents and non-medical students 突尼斯家庭医学院居民和非医学生对精神分裂症的态度

IF 1.2 4区医学

Psychosis-Psychological Social and Integrative Approaches Pub Date : 2022-02-02 DOI: 10.1080/17522439.2022.2032291

F. Fekih-Romdhane, Fayhaa Hamdi, H. Jahrami, M. Cheour

{"title":"Attitudes toward schizophrenia among Tunisian family medicine residents and non-medical students","authors":"F. Fekih-Romdhane, Fayhaa Hamdi, H. Jahrami, M. Cheour","doi":"10.1080/17522439.2022.2032291","DOIUrl":"https://doi.org/10.1080/17522439.2022.2032291","url":null,"abstract":"ABSTRACT Background Although primary care physicians are highly involved in the detection and management of schizophrenia since the early stages, prior research has shown that they hold negative attitudes toward patients diagnosed with schizophrenia. We aimed to compare attitudes towards schizophrenia between family medicine residents and non-medical students. Method This was a cross-sectional study. A 18-item questionnaire concerning attitudes toward schizophrenia was used. Results The two participant groups held similar attitudes in terms of “social distance”, “belief of dangerousness” and “skepticism regarding treatment”. After controlling for confounders, help-seeking intentions contributed negatively to the prediction of attitudes toward schizophrenia in the non-medical students, and accounted for 5.3% of their variance. Conclusions Implementing anti-stigma programs in medical schools, reviewing the current medical curriculum and the family medicine residency programme to help improve future physicians’ attitudes and prepare them to provide primary mental health care to young help-seekers who experience psychosis should be given priority attention.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"168 - 180"},"PeriodicalIF":1.2,"publicationDate":"2022-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45957213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Preliminary point prevalence of Cognitive Behavioral Therapy for psychosis (CBTp) training in the U.S. and Canada 美国和加拿大精神病认知行为疗法(CBTp)培训的初步流行程度

IF 1.2 4区医学

Psychosis-Psychological Social and Integrative Approaches Pub Date : 2022-01-14 DOI: 10.1080/17522439.2021.1971744

S. Kopelovich, E. Nutting, Jennifer Blank, H. Buckland, C. Spigner

{"title":"Preliminary point prevalence of Cognitive Behavioral Therapy for psychosis (CBTp) training in the U.S. and Canada","authors":"S. Kopelovich, E. Nutting, Jennifer Blank, H. Buckland, C. Spigner","doi":"10.1080/17522439.2021.1971744","DOIUrl":"https://doi.org/10.1080/17522439.2021.1971744","url":null,"abstract":"ABSTRACT Background Cognitive Behavioral Therapy for psychosis (CBTp) is recommended by psychosis treatment guidelines in the U.S. and Canada, however accessibilty has not been systematically established and little is known about trainer or training characteristics in these countries. This paper represents the first effort to estimate the population of CBTp practitioners, characterize trainer qualifications and training practices, and calculate a CBTp accessibility estimate. Methods We oversampled from a known cluster of the target population and supplemented with chain-referral sampling. Respondents completed an online survey pertaining to workforce training conducted since 2005. An accessibility estimate was calculated using published disease prevalence data and national workforce census data. Results Twenty-five CBTp trainers completed the questionnaire. Respondents were predominantly white female psychologists in hospital or academic settings. Their estimates of practitioners trained in the past 15 years yielded a point prevalence of 0.57% of the combined mental health workforce, corresponding to 11.5–22.8 CBTp-trained providers for every 10,000 people diagnosed with a psychotic disorder. Survey results showed several differences in training approaches, settings, and funders. Discussion This preliminary study suggests that CBTp remains inaccessible across these two countries. Future studies should refine the sampling methods to provide a more robust prevalence estimate within each country.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"344 - 354"},"PeriodicalIF":1.2,"publicationDate":"2022-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42736932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

A grounded theory analysis of care-coordinators’ perceptions of family growth associated with an experience of first episode psychosis 护理协调员对家庭成长与首发精神病经历相关的认知的理论分析

IF 1.2 4区医学

Psychosis-Psychological Social and Integrative Approaches Pub Date : 2022-01-14 DOI: 10.1080/17522439.2021.1971743

E. Thornhill, C. Sanderson, Anjula Gupta

{"title":"A grounded theory analysis of care-coordinators’ perceptions of family growth associated with an experience of first episode psychosis","authors":"E. Thornhill, C. Sanderson, Anjula Gupta","doi":"10.1080/17522439.2021.1971743","DOIUrl":"https://doi.org/10.1080/17522439.2021.1971743","url":null,"abstract":"ABSTRACT Background Growth associated with a first episode of psychosis (FEP) is taken from post-traumatic growth literature, where positive changes are perceived following adverse circumstances. FEP is a critical period in which care-coordinators play a key role in working with families. Care-coordinators’ perceptions influence the way in which they work with families. Methods Eleven care-coordinators described their perceptions of growth within families with FEP through semi-structured interviews. Transcripts were analysed using social constructivist grounded theory. Results Care-coordinators perceived the existence of family growth in the form of enhanced communication, as well as less explicit forms of growth including distancing from unhelpful relationships and a re-establishment of norms and boundaries. Growth was inhibited by the construct of the “perfect family” model, a mis-trust in services due to suspiciousness or prior negative experiences of services. Discussion These inhibitors limit engagement with interventions and prevent open exploration of difficulties. Future work may consider how these findings align with the views of families.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"355 - 367"},"PeriodicalIF":1.2,"publicationDate":"2022-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44325831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2